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Click here or scroll down to respond to this candidateCandidate's Name , A.A.Street Address Gilmer Ave NWRoanoke, VA Street Address
PHONE NUMBER AVAILABLEEMAIL AVAILABLESummary of SkillsExtremely detailed and organized individual seeking employment that will allow me to utilize my learned curriculum knowledge in culmination with over 15 years experience in various customer service specialties. Confident and prideful of my exceptional organizational skills and attention to detail, leading me to my future in the medical billing and coding field. Advanced knowledge base and training in the new ICD-10 regulations as being set forth by medical legislation. EducationDiploma of Medical Billing and Coding, (Honors Graduate) American National University, Salem, Virginia, July 2014Associate of Arts in Health Administration, University of Phoenix, December 2012 Diploma of Medical Office Specialist, American National University, Salem, Virginia, November 2009 The Endocrinology Associates (120 hours) Externship. Under my proctor, I was given hands on training on all aspects of the medical office such as, but not limited to, scheduling, insurance verification, patient filing, HIPPA, patient accounts and ledgers, lab reports, and medical records maintenance Qualifications Summary*Positive workingrelationships with clients &co-workers*Ability to organize,prioritize, and work underpressure and deadlines*Problem Solving Capabilities*Analytical/Research Skills*Insurance Claim & BenefitVerifications*45 WPM and error-free*Insurance Reimbursement*Patient Registration*EPIC Software*Mysis Tiger Software*Rhodes Fusion Software*Appointment ManagerSoftware*ICD-9/ICD-10, CPT codeexperience*Charge Entry*MedClarity Billling System*Capture Perfect software*Acute Attention for detailProfessional ExperienceAdministrative Support & Insurance Specialist, Johnson Curran Optometry Centers, Roanoke, Virginia, July 2019Current Submit claims to insurance carriers, entering electronic optical orders as well as posting payments to patients accounts. Development and maintaining knowledge of Electronic Health Record Software (EHR) in relation to the position. Charge Entry Specialist, Medusind, Inc., Salem, Virginia, June 2018July 2019 Prompt return and follow up to all interactions, prompt response to requests for information, both internally and externally. Timely input of demographic charges. Expert ability to add specific data such as modifiers, payer specific information, including authorization criteria, CPT and ICD-10 code and date of injury (DOI). Understand and interpret the Correct Coding Initiative (CCI) as it applies to charge entry work. Responsible for the processing and discrepancy reconciliation and closing of charge batches across all systems. Achieve goals set forth by supervisor regarding error-free work, transactions, processes and compliance requirements. Client Service Professional, H&R Block, Salem, Virginia, December April (seasonal), 2009 2017 Duties included but not limited to scheduling appointments, inbound & outbound calls, utilized Appointment Manager Software, AP/AR, maintained client confidentiality, issued tax refund payments, familiarity with rapid refunds, compliance with the IRS regulations, ran the front office, and provided excellent customer serviceCustomer Service Advocate, UnitedHealthcare (Medicare & Retirement), Roanoke, Virginia, June 2015 September 2015Respond to and resolve on the first call, customer service inquires and issues by identifying the topic and type of assistance the caller needs such as benefits, eligibility and claims, financial spending accounts and correspondence. Research complex issues across multiple databases and work with support resources to resolve customer issues and/or partner with others to resolve escalated issues. Provide education and status on previously submitted pre-authorizations or pre-determination requests. Patient Access Representative, Carilion Clinic, Roanoke, Virginia, July 2014 November 2014 Responsible for correct registration, insurance and benefit verification, financial requirements and functions. Use of effective communication, courtesy and professionalism in all patient interactions. Makes appropriate decisions, reasoning, and problem solving to gather and verify essential information needed for patient care and reimbursement. Inbound calls in call center environment for patient registration hotline. Interprets, applies, and communicates company policies regarding insurance aspects of patient care to assure optimal reimbursement for both the patient and company Administration Assistant, FedEx Home, Salem, Virginia, October 2013 December 2013 (seasonal) Explained and assisted with hiring documents & procedures for applicants. Organized employment packets. Assisted with pre-screening of candidates. Accountability for a range of essential organizational& clerical dutiesEligibility Denials Specialist, Solstas Lab Partners, August 2011 February 2012 (layoff) Responsible for verifying the insurance ID#s and investigated all patient accessions that were denied. Maintainedpatientand |
